Anaesthestic Challenge in a Patient With Pre-Existing Pulmonary Thrombo Embolism Undergone Spinal Anaesthesia: Case Report

Perioperative patients, including trauma victims undergoing orthopedic surgery, are at increased risk of venous thromboembolism, with immobility being the highest risk factor. The presence of shock and right ventricular failure are associated with adverse outcomes. Helical computed tomography scanning is the denitive diagnostic study. The choice of anaesthesia depends on hemodynamic stability, and surgery should be performed as early as possible to avoid complications associated with pulmonary thromboembolism. Here, a 70-year-old female with a history of a fall was diagnosed with an intracapsular neck femur fracture and successfully underwent proximal femoral nailing under spinal anaesthesia.